Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	26	$16.03	$16.03	$16.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $71.73 / $81.83	Professional		$54.60	$71.73	$81.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $19.32 / $44.12	Professional	26	$16.03	$19.32	$44.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.57 / $53.32 / $61.96	Professional	TC	$38.57	$53.32	$61.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $107.03 / $151.84	Professional		$44.82	$107.03	$151.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.32 / $23.32 / $23.32	Facility	26	$23.32	$23.32	$23.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $353.93	Professional		$67.55	$67.55	$353.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $96.64	Professional	26	$18.45	$18.45	$96.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $257.24	Professional	TC	$49.10	$49.10	$257.24
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $34.75 / $53.93	Professional	26	$31.28	$34.75	$53.93
United Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $111.02 / $217.59	Professional		$60.25	$111.02	$217.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $22.75 / $41.55	Professional	26	$13.41	$22.75	$41.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.47 / $86.28 / $212.88	Professional	TC	$42.47	$86.28	$212.88